DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MAYRA GONZALEZ CCP

MEDICARE: MAYRA GONZALEZ CCP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1242T00000XPerfusionistFPF02000046TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1FPF02000046OTHERTXTEXAS MEDICAL BOARD

General Provider Information

NPI Number : 1043721442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYRA GONZALEZ CCP
Provider Business Mailing Address
First Line : 14603 HUEBNER RD STE 28101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-5497
Country : US
Telephone Number : 210-614-7074
Fax Number :
Provider Business Practice Location Address
First Line : 14603 HUEBNER RD STE 28101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-5497
Country : US
Telephone Number : 210-614-7074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2017
Last Update Date : 09/09/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:
211 CALLE MORSE
ARROYO, PR
00714-2350
Practice Phone: 787-839-3980
Practice Fax: 787-271-2515
1265554414 — MR. ROBERT MATTHEW BROWNE CCP
Practice Location Address:
14603 HUEBNER RD BLDG 28 , STE. 28101
SAN ANTONIO, TX
78230-5497
Practice Phone: 210-614-7074
Practice Fax: 210-614-7091
1891168860 — DANIEL PERALES CCP
Practice Location Address:
14603 HUEBNER RD BLDG 28 , STE. 28101
SAN ANTONIO, TX
78230-5497
Practice Phone: 210-614-7074
Practice Fax: 210-614-7091
1295262087 — TARA RENEE ROJAS-PADRON PA-C
Practice Location Address:
14603 HUEBNER RD STE 28101
SAN ANTONIO, TX
78230-5497
Practice Phone: 210-614-7074
Practice Fax: 210-614-7091
1598272759 — RYAN MICHAEL COONS
Practice Location Address:
14603 HUEBNER RD STE 28101
SAN ANTONIO, TX
78230-5497
Practice Phone: 210-614-7074
Practice Fax: 210-614-7091
1134612567 — MILANDRI ELIZABETH KRIEL
Practice Location Address:
14603 HUEBNER RD BLDG 28
SAN ANTONIO, TX
78230-5497
Practice Phone: 210-614-7074
Practice Fax: 210-614-7091

Directions to “ MAYRA GONZALEZ CCP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.